Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366480949 Individual Practitioner Male Practitioner

Dr. Jack E Long , MD

Internal Medicine • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jack Long, MD is a registered healthcare professional specializing in Internal Medicine in Vancouver, WA. Practice services are available at 100 E 33RD ST STE 100 under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 E 33rd St Ste 100

Vancouver, WA 986632776

Telephone 3602562000
Fax 3605147553
Associated Practice Facility / Clinic
🏢 Peacehealth Facility NPI 1134178999

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.9 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
203 Specialists

Practicing in Vancouver, WA (3169 Statewide)

Telehealth Adoption Rate
19.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
175 47 $189.00 $70.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
155 125 $158.19 $80.02
99238 Hospital discharge day management, 30 minutes or less
49 43 $189.00 $73.47
99213 Established patient office or other outpatient visit, typically 15 minutes
47 41 $64.00 $50.24
99221 Initial hospital inpatient care per day, typically 30 minutes
20 18 $261.00 $103.53
99495 Transitional care management services for problem of at least moderate complexity
12 12 $194.00 $118.35

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA MD00028913

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Endocrinology, Diabetes & Metabolism

NUCC Taxonomy Code: 207RE0101X

State License WA MD00028913

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8131195 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Mackenzie Rhoades , APRN-CNP, PMHNP-BC

Clinical Nurse Specialist - Psychiatric/Mental Health

NPI 1003483090

Advanced Practice Registered Nurse - Certified Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. David Paik , MD

Family Medicine

NPI 1023218047

Doctor of Medicine (M.D.)

Dr. Mary Smart , MD

Anesthesiology

NPI 1043207848

Doctor of Medicine (M.D.)

NPI 1053514497

Doctor of Medicine (M.D.), Master of Public Health

NPI 1063529139

Doctor of Medicine (M.D.)

Jessica Villasenor , LCSW

Social Worker - Clinical

NPI 1073091781

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 27, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2008

Registered at 100 E 33RD ST STE 100, VANCOUVER, WA 986632776 (Tel: 3602562000)

📍
Updated Business Mailing Address February 27, 2008

Registered at PO BOX 1600, VANCOUVER, WA 986681600 (Tel: 3605147550)

👤
Provider Name / Credentials Updated February 27, 2008

Recorded as JACK LONG, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2008

Internal Medicine (License #MD00028913 in WA)

🟢
Initial NPI Registration & Enumeration June 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366480949
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2006
Last Update: February 27, 2008
Sole Proprietor: No

Mailing Address

Po Box 1600

Vancouver, WA 986681600

Phone: 3605147550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.